Federal Official Gazette
REGIMENTAL RESOLUTION ANS No. 39, OF OCTOBER 19, 2026
Amends Regimental Resolution No. 21, of January 26, January 26, 2022 (Internal Rules of the National Supplementary Health Agency – ANS), in the part concerning the Directorate of Standards and Qualification of Operators – DIOPE.
The Advisory Office for Strategy and Regulatory Affairs – AEAR was created, directly linked to DIOPE, with responsibilities related to strategic and regulatory advisory services, planning, integrity, risk management, information systems, work processes and knowledge management.
The Deputy Directorate of DIOPE now directly supervises the Regulatory Advisory Office, the Information Advisory Office, the General Management of Special Monitoring and Resolution Regimes and the General Management of Monitoring of Operators and Market.
In the Management of Resolution Regimes, the structure now includes the coordinations for Divestiture and Liquidation, for Registration Cancellation and for Accountability. The act also abolishes and converts positions and units, with no increase in expenditure.
https://www.in.gov.br/web/dou/-/resolucao-regimental-ans-n-39-de-19-de-outubro-de-2026-739128833
TERMINATION NOTICES – ANS ENFORCEMENT DIRECTORATE
The ANS Enforcement Directorate published, in Section 3 of the DOU of Oct 20, notices of unilateral termination of 33 commitment agreements entered into with benefits administrators, effective on dates between Oct 2, 2026 and Oct 28, 2026.
The companies listed include Qualicorp Administradora de Benefícios, Contem Administradora de Benefícios, Solidus Administradora de Benefícios and other companies in the segment.
The instruments covered were mostly related to the provision of information on the number of administered lives and of exposed administered lives.
https://www.in.gov.br/en/web/dou/-/avisos-de-rescisao-739272683
TAX RULING RESOLUTIONS (SOLUÇÕES DE CONSULTA) RFB No. 7,011 AND No. 7,013/2026
The Federal Revenue Service reiterated that hospital services and certain diagnostic support and therapy services may use the presumed profit percentages of 8% for IRPJ (corporate income tax) and 12% for CSLL (social contribution on net profit), provided that the service provider is organized, in fact and in law, as a business company and complies with the applicable health regulations.
Simple medical consultations, including when performed in an outpatient setting, remain subject to the 32% percentage.
Analysis: the rulings do not establish a new general rule, as they reproduce an understanding already consolidated by the Federal Revenue Service, including in Normative Instruction RFB No. 2,343/2026. They do, however, reinforce the need for providers to separate, for accounting purposes, revenues from consultations from revenues relating to hospital services and diagnostic support and therapy services, in addition to documenting compliance with the corporate and health requirements.
https://www.in.gov.br/web/dou/-/solucao-de-consulta-n-7.010-de-3-de-agosto-de-2026-739141203
ANS news
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Open public consultations
- CP 178. Subject: preliminary recommendations against the incorporation of somatrogon and cabozantinib levomalate. Deadline: from October 7 to October 26, 2026
- CP 179. Subject: proposed update of Normative Instruction ANS – IN ANS No. ANS No. 31, of December 19, 2022, which provides for the monitoring and assessment of the guarantee of care for beneficiaries by health care plan operators. Deadline: from Oct 23, 2026 to Dec 7, 2026
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Sources: Federal Official Gazette (DOU) and the ANS website. Press items link to the original article. This brief is for information only and does not constitute legal advice.